Asady M A, Cosgrove J F, MacMahon P
Paediatric Department, Waterford Regional, Hospital, Republic of Ireland.
Ir Med J. 2002 Mar;95(3):83-4.
Paediatricians may be called on to see a suicidal child or adolescent in the emergency department as a psychiatric consultation is not always immediately available. The paediatrician will then play a pivotal role in the evaluation and disposition of the patient.(1) American reports have shown that 8% of high school students have made a suicidal attempt and that 2% had made an attempt that required medical attention.(2) Suicidal attempts account for 12% of all emergency department visits for the adolescent age group.(3) In the U.K. overdoses account for 4.7% of all general hospital admission in those aged 12-20 years. (4) In Republic of Ireland the most recent national vital statistics data revealed that over a period of one year July'97 - July '98, more than 650 children and adolescents were admitted to hospital with the deliberate self poisoning. The female to male ratio was 3:1.(7)
由于精神科会诊并非总能立即安排，儿科医生可能会被要求在急诊科诊治有自杀倾向的儿童或青少年。此时，儿科医生将在患者的评估和处置中发挥关键作用。（1）美国的报告显示，8%的高中生曾有过自杀未遂行为，其中2%的未遂行为需要医疗救治。（2）自杀未遂占青少年急诊就诊总数的12%。（3）在英国，12至20岁人群中，药物过量占综合医院入院总数的4.7%。（4）在爱尔兰共和国，最新的全国生命统计数据显示，在1997年7月至1998年7月的一年时间里，超过650名儿童和青少年因故意自我中毒入院。男女比例为3:1。（7）
